Individual provider Active NPI

Barbara Gail Isaacs, PHD

  • Clinical Psychologist
  • Portland, OR
National Provider Identifier
1154441830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PHD00786 Issued in OR
Practice address
5441 SW Macadam
Suite 102
Portland, OR 97239-3821
Phone
(503) 248-0775
Fax
(503) 222-5480
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PHD00786 OR Primary

Addresses

Primary practice location

5441 SW Macadam
Suite 102
Portland, OR 97239-3821

Mailing address

5441 SW Macadam
Suite 102
Portland, OR 97239-3821
Phone (503) 248-0775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080429000735 OR Practitioner - Clinical Psychologist 9739268939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

833 SW 11TH Ave
Suite 1016
Portland, OR 97205-2124
Phone (503) 248-0775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PHD00786ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barbara G. Isaacs, PH.D.,PC CurrentSince Jan 1, 1986 Accepting new patients

Locations

833 SW 11th Ave
Ste 1016
Portland, OR 97205
Phone (503) 248-0775

5441 S Macadam Ave
Ste 102
Portland, OR 97239
Phone (503) 248-0775

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154441830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 SW MACADAM",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393821",
            "telephone_number": "503-248-0775",
            "fax_number": "503-222-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5441 SW MACADAM",
            "address_2": "SUITE 102",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393821",
            "telephone_number": "503-248-0775",
            "fax_number": "503-222-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "BARBARA",
        "middle_name": "GAIL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "PHD00786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.